HomeMy WebLinkAboutPermit Building 1992-10-27RESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
LOCATION OF PROPOSED WORK:
ASSESSOBS MAP:
LOT:ts/
JOB NUMBER
225 Fifth Street
Spri ngfield, Oregon 97 477
LOT:
BLOCK:SUBDIVISION ' L-eL I
PHONE
ADDRESS:
ZIP:Orz-STATE:q74cK
OWNER:Brrtru0rTlt 6to- J*.
CITY:Et*Aru>
REMODEL ADDITION DEMOLISH OTHER
ef-JDESCRIBE WORK:
NEW {
Fzoaooa/)r-rW-. :tLAD,4ofl&a E-* 27
CONTRACTOR'S NAME ADDRESS
t 7-5
2
G EN ERAL:
PLUMBING
MECHANICAL:
ELECTRICAL:
CONST.
CONTRACTOR #EXPIRES
fl,/zo
PHONE
6K6a13t
rRft)u)
USE _l
WATER HEATER:
_ OFFICE
* OF BDRMS:
RANGE:
LAND USE:
# OF UNITS
OCCY GROUP:
* OF STORIES:
OUAD AREA:
* OF BLDGS:
SECONDABY HEAT:
SQUARE FOOTAGE:
FLOOD PLAIN:
ZONING CODE
CONSTR. TYPE:
HEAT SOURCE:
\\l
To request an inspection, you must call 726-3769. This is a24 hour recording. All inspections requested before 7:00 a.m. will be
made the same working day, inspections requested after 7:00 a.m. will be made the following work day.
REQUIRED INSPECTIONS
l--l Temporary Electric Rough Mechanical - Prior to
cover.
Final Plumbing - When all
plumbing work is complete.
Site lnspection - To be made
after excavation, but prior to
setting forms.
Rough Electrical - Prior to Final Electrical - When all
electrical work is complete.cover.
Underslab Plumbing/ Electrical /
Mechanical - Prior to cover.Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is complete.
ing - After trenches are Final Building - When all
required inspections have been
approved and building is
completed.
excavated.Fireplace - Prior to facing
materials and framing lnsp.
Masonry - Steel location, bond
beams, grouting.Framing - Prior to cover
Foundation - After forms are
erected but prior to concrete
placement.
Other
Wall/Ceiling lnsulation - Prior to
cover.
Underground Plumbing - Prior
to filling trench.Drywall - Prior to taping.
MOBILE HOME !NSPECTIONS
Underlloor Plumbing/ Mechanical
- Prior to insulation or decking.Wood Stove - After installation.
Post and Beam - Prior to floor
insulation or decking.lnsert - After fireplace approval
and installation of unit.
Blocking and Set.Up - When all
blocking is complete.
Floor lnsulation - Prior to
decking.Curbcut &Approach - After
forms are erected but prior to
placement of concrete.
Plumbing Conneclions - When
home has been connected to
water and sewer.
Sanitary Sewer - Prior to filling
trench.Electrical Connection - When
blocking, set-up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
Storm Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place.
Water Line - Prior to filling
trench.
Fence - When completed
Street Trees - When all required
trees are planted.
Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been installed.
d,fBsAZ t
i)+
€-
tl
Rough Plumbing - Prior to
cover.
d
tu
r
F
#
PE
fl
r
EF
fl E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
he
LohType
,t
V tnt"rio,t
-
Corner
-
Panhandle
-
Cul-de-sac
acks
P.L.HSE GAR ACC
N
S
E
-*rl E PROPOSED WORK lN THE
HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, this application must be signed
and approved by the Historical
Coordinator prior to permit issuance.
APPROVED:
ioht
tu^ag
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
VALUE
2494
;C2rre e
Revi(A)
X $i SQ. FT.96'..' lz aozJ
Plan Check Fee:
Date Paid
Receipt Number:
Received By
upon violation of ons said ordinances.
Total Value
Building Permit Fee
State Surcharge
Total Fee
T
7.Sez
i!
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved.
SYSTEMS DEVELOPMENT C
(B)'^#X',1'j3'€
ADDITIONAL COMMENTS
ITEM
Fixtu res
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
FEE
(c)
FT.
FT.
FT.
N0
PLUMBING PERMIT
Plumbing Permit
State Su rcharge
Total Charge
Wood Stove/ lnsert/ Fireplace Unit
Dryer Vent
q@
N0 4
(D)
MECHANICAL PERMIT
Mechanical Permit
lssuance
State Surcharge
Total Permit
Furnace
Exhaust Hood
Vent Fan
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I f urther certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springf ield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved
Signatu
Date
on the site at all times u ring
rematn
ctio
MISCELLANEOUS PERMlTS
Mobile Home
State lssuance
State Surcharge
sidewark [-05 ,.
Curbcut
-
ft
Demolition
Total Miscellaneous Permits (E)
- \\ \.r'1
Su rch
R
EI
DATE PAID
VALIDATION:
RECEIPT NUM
AMOUNT R
RECEIVED
TOTAL AMOUNT DUE (excluding electri
(A, B, C, D, and E Combined)
I
I
d)
l
C'TY OF OREG
225 FIFTE STREET
SPRTNGFTELD, oRBGoN 97477
TNSPECTION RBQIEST. 726-37
OFFICE: 726-3759
1. LOCATION OF INST
DESCRIPTTON ra
SI',IIN(;FII:LO
APPLICATION
LOV
r
HuIti-FamiIy per dvelling unit.
Service fncluded:
Items Cost Sum(
JOB
e4-+)_l_
5
$ 8s.00
s 1s.00
s 40.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf,d Home or
l'lodular Dvelling
Service or Feeder
Electrical Contractor
Address
ci Phone
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Superv
0wn s Name OBA
Address tt
Ci ty NIL Phon .6K3!3t-
0vners Signature:
DATE:
B. Services or FeedersInstallation, Alterations or. Relocation:c
supervisor License Ntimber #7O
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
tZ< 601 amps to 1OOO amps-''- 0ver 1000 amps/volts
Reconnect Oniy
I
.00
.00
.00
.00
.00
.00
$so
$60
$100
$130
$300
$40/d
ctri cian
9o*D. Branch Circuits
C. Temporary Services or Feeders
C fnstallation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 arrps
-
g 55.00
over 401 to 6oo amps
-
g go.oo
Over 600 amps or 1000-\,Ats see uBu a56Fd
OIINER INSTALIJTION
The instalLation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Nev, Alteration or Extension per panel
Onb Ci.rcuit S 35.00Each Additional
Circuit or vith Serviceor Feeder Permit S Z.OO
Hiscellaneous (Service/feeder not included)
-Each installat ion
Pump or irrigation
Sign/Out1ine Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
SIETOTAL OP ABOVE
5Z State Surcharge
TOTAL
E
s
$
s
s
00
00
00
00
40.
40.
20.
36.
'n7RECEIYED
5 (I)
ELECTRICAL
8f
L1
Ci ty Job Number
4.SJn"r - nesi den t ia-I- s i ngl e
a)
Permits are non-transferable and expireif vork is not started vithin 190 diysof issuance or if vork is suspended for
180 days.
2. COI{TRACIOR TNSTALI,ATION ONLY
JOB NO.1tt 4o 1
crrY 0F SPRTNGFIELD sIIILl'l: DEVEL0PMENT CHARGE
WORKSHEET
(COMMERCIAL & RESIDENTIAL)
NAME OR COMPANY:Beeeve 9
0z '?-lbl d)
LOCATION:
DEVELOPMENT TYPE:L tz 4tr ?
LOT SIZ
DRAI AGE
IMPERVIOUS SQ. FT.'bb11 x 50.i92 PER SQ- FT.
2. SANITARY SEi.IER_CITY
NO. OF PFU'S
(See Reverse)
X $39.78 PER PFU
S a. Ft.
1
3 T PORTA
NO OF UNITS X TRIP RATE X COST PER TRIP
l,oo5 x $401.0s
x $401.05
x $401 .0s
TION
(Use PFU Total From Item
MI,,MC CREDIT IF APPLICABL
2 Above)
E (SEE REVERSE)
,-L- (o
S
$
TOTAL-MI^JMC SDC
TOTAL SDC
X
X
x
4 ADM INiS TiVE F EES
BASE CHARGE (SUBT0TAL AB0VE) X '05
TOT L-CITY S DC
5. SANITARY SEI,lER-Mt,lMC
NO. OF PFU'S 2-o $I3.62 PER PFU + $10 MhlMC ADMIN. TEI SZ6ZY
SUBT0TAL (ADD ITEMS 1,2, & 3l s ln{z?
44 '2
-Kip Burdick
SDC Coordinator
b4+9+
q5b9
Z529
1L Lt1 GI
a*lc .
s/q"5 b9
FIXTURE UNIT CALCU I.ATIOIv TABLE:
For remodels, calculate only the NET additional fixtures)
FIXTURE ryPE
Bathtub.......
Drinking Fountain--"'
Floor Drain-
I nterceptors For Grease/Oil/Solids/Etc""""""""'
I nterceptors For Sand/Auto Wash/Etc" """"""""
Laundry Tub/Clotheswasher"""
Clotheswasher - 3 Or More""""""
Mobile Home Park Trap (1 Per Trailer)"""""""""
Receptor For RefrigeratorAVater Station/ttc""""
n"""'ptot For Commercial Sink/Dishwasher/Etc"
Number of New Fixtures X Ur'*'rtruivalent = Fixture Units (NOTE:
NUMBER OF UNIT FIXTURE
NEW FIXTURES EQUIVALENT UNITS
a
.ob x$t6,G
x$
2
1
2
J
6
2
6
6
1
J
2
1/
2
2
'l
6
4
Shower, Single Stall-Head
Sink, Bar, Commercial
Urinal, StallflVall-...?-
Wash Basin/Lavatory, Single"
Water Closet, Public lnstallation"Z.
Water Closet, Private---"""
Miscellaneous:
TOTAL FIXTURE UNITS 2-o
cREDrr CALCULATToN TABLE: Based on assessed varue. [f improvements occurred after annexation date in table'
calculate credits
l5
Credit for Parcel or tand Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Val ue)
(Rate X Assessed Value)
CREDIT TOTAL =$++
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
Residential--
Commercial.--...----.----.---
lndustrial....-
Governmental--.---..--------
9
0.4
0.9
0.45
0.5
Year
Annexed
Rate per $1,000
Assessed ValueYear
Annexed
Rate per $1,000
Assessed Value
1 985
'1986
1 987
1988
1989
't990
1991
$2.1 6
1.90
1.60
o.25
0.87
0.50
0.16
1979 or before
1980
1981
1 982
1 983
1984
$2.83
2.76
2.71
2.60
2.46
2.33
IMPERV]OUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
+
-2-
Z.
4
I
')D/'F;s f/'etuffi__qziqCI_
Here's the FAX
from Breeden Bros. Inc.
kofessional land Developers and Home Builders for Or
250
To:O t\\,
Darc:7
Cemcf 366 F:st4O&
€9O-{q4!9!E _ ._
u s A. 97fi5-W5
gEou". (5 l3) 68_6-94-11
at-EAI- * 2$-4: -fAfr?
.\2
Timo: 7,' , o t? m lof 3
v\L41
4a-
7r
7&t
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Cat td il.-
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:gpn!4,tign_ is.Fyrldlggll _
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t0
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"Our
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+
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COLOR:OFT \YHIT8
covEHAqe
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DRYINO tIt{ET 6
7T'F, BOi6 HH
F[,\6H POINT:
i.iNi8H.
6CLvEI.ITIBEDUOEH
VEHIOLE TYPEJ
VOLUUE OOLIDB:
wEr0tt? SouDa:
,'&J'iGHT P&F 6ALLON:
MMIMUM VOC
^8
PACiqoEDi
PEFg€l
00f 00o000
-q-.1
{OO
'Q,FT,,q^l
TT
{ Mlla WEf,
I,U MIL6 ORY
T0 TOUCH: 1ts20 MlH,
TO FEOOAT] WHEH ORY
To Touctl
20t. FcLoSEocup
FLAT
,DO ROT HEDUGE'
8WRENE BUTADI€NE
17,0 $ +/- 2
rl.0 $t t/- ?
l0.t - 10,7 186
.a LBSiGAL
60 OMg,,LIITB
6,6O t/- 0.i0
( _.,
dle 1
E I689r:l 9 S'a y 'ru I SOXA N3fi:l=ll
FHONE N0. | +461 3275
SPECIEICATIONS
DRY.l\IAtL
I c?. v^poB BARRieR
A CT8,
^HCHITEOIUML
TOPCOAT
FAEXNY
I cr. vlPoREARnlEn
2 CYE,
^ECHIT@TURAL
TOFCOAT
PUSTER
1 cr vAPon EARR|G8
9 CT8, AECHITSCTURAL TOPCOAT
couFo6tTlolr Bo^Ro
1 OT, VAPOH B^RBIER
I CYS-
^RCHITECTUFAL
TOPCOAT
RFr. A9 1993 A3:Uleil Pbll
PRODUCT
DATA
VAPOR
BARRIER
SURFACE PRBPAIT A'I']ON
DRYIIALL
RSMOVE ALL
'URFACE
CONIAMJN^\TO
OY WAEHINO WITH A}{ APPROPRI,ATE
OTEAN EC. FILL CR^CI(6 ANO NAIL HOLEr
wtrH 9Aycl"rlNo pl-cTE/eprcKLE Ar.tD €$rD
tMOO'H. JOINTg COMFOUIiOE MUST OE
cunEo rfto BANDED EMoorH REMovE ai_!
8^NOINq DUST.
MACONRY
REMOVE ALL SURF^CE CONYAMIN^NTS
WITH AH APPAOPATATE CLEANER. ALL
SURFACEE MUST 8E CUNED ACCOFDI!a Io
THE SUPPLIEBS RECOMMENCD^TIOII8,
nEuovE ALL FOBM RELEAsE AiJD CUqtit.t
AOEI{76. ROUgH suRFacEs cAr{ BE Ffl-t r0
TO PHOVIOE A EMOOTH 6UFFAiE
FLASY E h
gAqE PL.TSTEB MUST 86 CUqEO At]9 HAftr-)
T€XTUHEO. SOFT. POROUO, CFI POWi]ERY
PLA'TER SHOUtO tsE TRE^TED WIIH T
SOLUT(ON OF 1 PINT HOUsEHOLD VIrl€OAA
lO t GALLON OFWATEB, FEPEIT UlTrt
THE EUnFaCE tS ).|ARD, Flri.sg wrrH cLEAN
VJA'I ET AND ALLOW tO OAY,
a
U
couPoslTtoN BoAHo
Fel',tOVB ALL 0URTACE COr.lrAr/INAN re
WJTH AN APPFOFFII^lEOLEANCH, SAND
ANY EXPOSEO WOOD TO A FREOH
6URFACE, PATCH NAIL HOLE AND
ItTFEFTFECTTONO WrTd A WOCD Fir-LI!R
OF PUTTY TND GAND SIioOT}T
ER:rl'l : Trrple R Err.ferp :qg
PRODUCT
DATA
VAPOR
BARRIER
BAuE|l
NO AEDUCT|OTI NEGESSAqY. UsE A
l{ YLON/PoLYEETEA BRUOH
,+,OLLER
NO FEDUCTIOH NECEECARY, USE AT,OLYEETEE POLLER,
6PRAY- ArBLElt
PRES8UBE,,,.,..,... 2ooD P8t
T1P....,,, . .... ,Op-,ore
REoucrtoN.,.,. ..,,,HONE
!B'.1
PHOl.lE N0. : +461 3,-
CLEAN UP INFORM ATION
CLEAN OPITLS ANP ,F!^TTERS IMMEOIATEIY
WITH WATEB. OLE^il PAINTINO TOOLS
IMXSOI^f ELY AFTES U9E TYI?X SOriirrOyjlEr, FLU6H EOUtpHEllT wtrH MTNER{L
Illtro ro pAEvENr RUsTlNO oF Tt{E
EQ-UIPM ENI. FOLLOW MANUF^OTUBA' B
IAFC,' FECOMMEHDATIONs WITEN
U8IilO MINEf,AL 6PIqITE
€! r 663Er9 9EC * -:ru I sctllg N3tr
\-/
FF.. A9 199f E3: 113p11 F rt 1
CAUTIONS
DO NOT APFLY EELow d6. F
HON-PHOTOCHEMIcALLY hEAcT IvE
TI{I6 PRODUOT MEETT CURRBN?
ECOLOOICAL ANP LEAD HAZAf,O
NEGULATIONS.
PHOTECT FROM FFEEZ1NA
,NTERtOR UBE oNLy
DO NOT TIIIN.
BEOUCTIO N WI LL ADVERELY
EFFECT THE PERM ReTII.Io
,. . \u/
'J
3UA rg:13 NOl'.t 96-ZT-)ldrJ
frlT/V i /au/
--._4I3Lrc^Ti-ory--
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